Print Violation: 00177885-AP-141358

Provider Information

Monarch Gardens Memory Care

984 PARKVIEW DRIVE
Brookings, OR 97415

Date: 1/4/2022
Report number: 00177885-AP-141358
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to follow care plan
Result: Substantiated
Rule(s) Violated: External site: 411-054-0025(1)(a)
External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0030(1)(e)(H) and (I)
External site: 411-054-0036(2)(g)
Findings: The facility failed to follow the Alleged Victim's (AV) care plan to supervise and redirect according to behaviors. AV was attempting to enter another resident's room, with lead to physical altercation. The lack of supervision put AV at risk of serious harm and unreasonable discomfort. The facility failure is a violation of resident rights, is considered neglect of care and constitutes abuse.